Individual
MARISSA YANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6192
(215) 316-5151
Mailing address
1327 MCCLELLAN ST, PHILADELPHIA, PA 19148-2118
(808) 896-6965
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN654171
PA
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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